Active NPI
Thomas Joseph Corso, PA
- Surgical Physician Assistant
- Pawtucket, RI
National Provider Identifier
1902840754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA00311
- Practice address
- 111 Brewster St
Memorial Hospital of Ri /Dept of Surgery
Pawtucket, RI 02860-4400 - Phone
- (401) 729-2241
- Fax
- (401) 729-2286
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA00311 | RI | Primary |
Addresses
Primary practice location
111 Brewster St
Memorial Hospital of Ri /Dept of Surgery
Pawtucket, RI 02860-4400
Mailing address
111 Brewster St
Wood BLDG #516
Pawtucket, RI 02860-4400
Phone (401) 729-3481
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27994-5 | Other | RI | RI BLUE CROSS ID NUMBER |
| TC73054 | Medicaid | RI | |
| 9790062661 | Other | RI | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000807 | NY | MD | Psychoanalyst |
| 008071 | NY | MD | Optometrist |
| PA00311 | RI | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Hospital / Medicine | Past | Accepting new patients | |
| Memorial Hospital | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Pawtucket, RI
- NPI 1548696941
-
- Hospitalist Physician
- Poughkeepsie, NY
- NPI 1528167442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314921600000",
"number": "1902840754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 BREWSTER ST",
"address_2": "WOOD BLDG #516",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604400",
"telephone_number": "401-729-3481",
"fax_number": "401-729-2721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BREWSTER ST",
"address_2": "MEMORIAL HOSPITAL OF RI /DEPT OF SURGERY",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604400",
"telephone_number": "401-729-2241",
"fax_number": "401-729-2286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORSO",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2011-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "RI",
"license": "PA00311",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI BLUE CROSS ID NUMBER",
"identifier": "27994-5",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TC73054",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "9790062661",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.